Practice Quiz

CCRN Critical Care Nursing

Category - Adult

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The Emergency Room has transferred a thirty seven year old man to the intensive care unit after a gunshot wound. The patient has had a blood loss of approximately 900 mL. He is arousable but not alert. His vital signs are, blood pressure 88/45, heart rate of 130 and shallow respirations of 28/minute. What kind of intravenous fluids would be the most appropriate for fluid resuscitation?
  1. Normal saline solutions
  2. Dextrose and Normal Saline solutions
  3. Lactated Ringer’s solutions
  4. Packed Red Blood Cells
Explanation
Answer: C - The most appropriate intravenous fluids for rapid fluid resuscitation for the patient with a massive fluid loss, such as a traumatic injury are Lactated Ringer’s solutions. A transfusion of red blood cells would be appropriate if the blood loss had exceeded 1500 mL Normal saline would be the additive of choice for administering blood.
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